Lisa Doorenbos, R.PH.
Individual provider Active NPI Pharmacist · Rock Rapids, IA
NPI 1780913947 · NPPES record last updated Dec 17, 2009
Key facts
- NPI
- 1780913947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16634 (IA)
- Practice address
- 402 S 2ND Ave
Rock Rapids, IA 51246-1428 - Phone
- (712) 472-4220
- Fax
- (712) 472-2890
- NPI assigned
- Dec 17, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16634 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16634 | IA | Yes |
Addresses
Primary practice location
402 S 2ND Ave
Rock Rapids, IA 51246-1428
Mailing address
402 S 2ND Ave
Rock Rapids, IA 51246-1428
Phone (712) 472-4220
Other providers in Rock Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.